Provider Demographics
NPI:1861517153
Name:CARR, GEORGE (LCSW, LCAS, CCS)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:
Last Name:CARR
Suffix:
Gender:M
Credentials:LCSW, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 N HILL ST
Mailing Address - Street 2:
Mailing Address - City:FAISON
Mailing Address - State:NC
Mailing Address - Zip Code:28341-8927
Mailing Address - Country:US
Mailing Address - Phone:910-336-5082
Mailing Address - Fax:
Practice Address - Street 1:SEYMOUR JOHNSON AIR FORCE BASE
Practice Address - Street 2:2803 MEDICAL CAMPUS DRIVE, BLDG. 2803
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27531-2310
Practice Address - Country:US
Practice Address - Phone:910-336-5082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NCC0054371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical